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General NPI Number Information
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NPI Number | 1003352139
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Entity Type | Organization
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Legal Business Name | SHINE FUNCTIONAL HEALTH, PLLC
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Dates
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Enumeration Date | 01/12/2017
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 3233 N ARLINGTON HEIGHTS RD SUITE 302
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1557
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Country | US
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Telephone | 224-345-2532
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Fax |
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Provider Business Mailing Address
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Address Line | 3233 N ARLINGTON HEIGHTS RD SUITE 302
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1557
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Country | US
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Telephone | 224-345-2532
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN, OWNER
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Name | DR. ALISON E LECHNER
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Credential | DO
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Telephone | 224-345-2532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036-111919
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License Number State | IL
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